- Cleveland Clinic (Cleveland, OH)
- …and charge for interventional radiology procedures. **Inpatient:** + Identify, review , and assign highly complex/high-acuity codes, including ICD-10-CM, PCS, POA ... and PSI indicators for inpatient charts. **Outpatient:** + Identify, review and assign highly complex codes, including ICD-10-CM and CPT for ambulatory surgery and… more
- Cedars-Sinai (CA)
- …Ensure data integrity when extracting and reporting information for leadership review and validate documentation for appropriate DRG assignment. **Why ... extensively with CDI staff and leadership, and medical records coding staff. + ** DRG Analysis:** Perform ongoing DRG analysis to identify problem areas, compile… more
- Beth Israel Lahey Health (Burlington, MA)
- …assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of morality, and severity of illness. Track review ... of patients every 2 days to support and assign a working DRG assignment. Queries physicians regarding missing, unclear, or conflicting medical record documentation… more
- Covenant Health Inc. (Knoxville, TN)
- …records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- TEKsystems (Chicago, IL)
- …The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of medical records to ensure complete and accurate clinical documentation ... to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group ( DRG ) assignment, severity of illness (SOI), and expected risk of mortality (ROM).… more
- UPMC (Pittsburgh, PA)
- …and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate into departmental ... and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time… more
- BronxCare Health System (Bronx, NY)
- …of illness/intensity of service guidelines. The CDS will work with hospital top DRG 's to insure that documentation is optimal and meets coding clinic guidelines in ... -Conduct audits of CDI queries and perform second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG… more
- WMCHealth (Valhalla, NY)
- …to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD10 CM/PCS coding systems, assigns and records an ... documentation clarification + Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. + Makes… more
- St. Luke's University Health Network (Allentown, PA)
- …concurrent, prospective and retrospective coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) ... determine data quality and accuracy of coding, billing, and documentation related to DRG 's, CPT, APC's, and HCPCS Level II code and modifier assignments, ICD… more
- Sutter Health (San Francisco, CA)
- …between Medicare Part A and Part B guidelines and how they impact DRG assignments (upon completion of training) + High degree of hospital coding knowledge, ... including but not limited to APR- DRG , MS- DRG , HCCs, Medicare, Medicaid & Managed...Reviews HAC/PSI database content weekly to support CDS account review + Works in tandem to provide clear communication… more